USING DOXY.ME FOR VIRTUAL VISITSPresenter/Peer Mentor: Dr. David Harrison BSc, MSc2, MD, CCFPPanelists: Dr. Devan Reddy, Dr. Billy (Shen-Ping) LinModerator: Brigitte Mettler, Doctors Technology Office

HOUSEKEEPING: Control Panel:

By default the control panel is set to auto-hide.

By moving your curser to the bottom of the screen the control panel will appear. The control panel includes the mute, chat, raise hand and Q&A functions.

Mute: By default, you will be put on Mute when you join the Webinar.

Hand raising:

The hand raising feature is found on the middle of the Zoom control panel.

By default, your hand will not be raised.

When your hand is down, the button look like this:

Click on the button to raise your hand if you have a question or a comment.

When your hand is raised the button looks like this:

Click on the button to lower your hand if your question or comment has been addressed.

DISCLOSURES

Victoria community GP 6 years MedAccess EMR

Academic and education background

Past alternate chair of South Island Division of Family Practice

Past First in Ten Year SGP RA member

DTO & PSP peer mentor

Co-founder of MedConnect Technologies Inc.

GOALS OF THE PRESENTATION

How to integrate a new software service into your practice: Broad overview of the processes of

integration Highlight key steps in the integration process Guidance through pearls based on clinical

experience

What this presentation will NOT provide you: Demonstration of product features Online instructional videos will be published

on DTO learning channel

“Never stop learning, because life doesn’t stop teaching.”

OUTLINE

1. Is Doxy.me or Telemedicine a good fit for my practice?

2. Pearls on integrating Doxy.me into your practice.

3. Pearls on having a successful Doxy.me appointment.

4. Virtual care and office workflows

IS THERE A NEED FOR TELEMEDICINE?

Accessibility Young families Employed Isolated - mental health, mobility,

geography, weather and pandemics

Ageism Patients are more capable and more

supported than you assume

Advice Is there a sufficient volume of

knowledge based service your practice provides to be financially sustainable?

WHAT IS DOXY.ME AND WHAT PLAN IS A GOOD FIT?

Doxy.me is a telemedicine platform Offers video, phone, and messaging It is HIPAA compliant and web browser based It is NOT an EMR

There are 3 plans: Compare Free Cost-free entry into telemedicine;

Waiting room, patient queue, text chat, meeting history, notifications

Professional Free plus offers group calling, photo capture, screen/file sharing and

passcode No contract, month to month

Clinic Professional plus group waiting room and shared calls Suited for group clinic and team based care

WHAT IS NEEDED TO SUPPORT DOXY.ME VISIT?

PC, Tablet, and Mobile

Computer camera Can screen and file share WITHOUT camera

Microphone Can messaging WITHOUT microphone

High speed internet Limiting factor

Location Quiet and secure Home vs office depends on office workflow

(e.g. VoIP, eFaxing etc)

THE BOTTOMLINE...

Any physician that has access to a smartphone has the ability start telemedicine video visits using Doxy.me

today.

PEARLS - HOW TO INTEGRATE DOXY.ME INTO CLINICAL PRACTICE

Engage your staff - early Buy-in, collaboration and understanding

of value Gain insight of how your practice

ACTUALLY works

Practice, practice, practice Start with supportive friends, family, colleagues, staff and patients Practice with staff - very important Different devices, operating systems (e.g. Windows/ Mac, Android/ iPhones) Troubleshooting tips Most common issue: Browser settings and camera/microphone

permissions When in doubt refresh your browser

PEARLS - ENGAGING AND INFORMING PATIENTS

Collaborate with your staff How is information shared with patients? How can communication be enhanced?

Posters On the front door; In common areas, exam rooms/bathrooms

Phones Staff; answer machine messages

Email Individual email footers; no-reply email servers e.g. MailChimp

Online booking Clinic profile; patient appointment reminders

Website Patient education; direct Doxy.me access to virtual waiting room

Social media DoBC - Public Campaign Feb 7th

PEARLS - HOW TO HAVE SUCCESSFUL DOXY.ME APPOINTMENT

The patient perspective:

Have the virtual waiting room web address in ALL appointment reminders Make access as frictionless as possible

Have the patient start their first virtual appointment 30 min early Gives ample time for troubleshooting

Remind patients to wait in the virtual waiting room and be patient

PEARLS - HOW TO HAVE SUCCESSFUL DOXY.ME APPOINTMENT

The physician and staff perspective:

Your “set-up” Mobile phone vs computer only

vs combination

Refresh browser often

“Staff huddles” Staff sign into physician Doxy.me virtual waiting room Physician puts staff members “on hold” to message and

talk to staff

Keep your waiting room locked to prevent patients from entering (Pro and Clinic versions)

“Turn off” passcode at start of day “Turn on” passcode at the end of day

PEARLS - THINGS TO CONSIDER DURING VIRTUAL VISITS

Send message to patients in the virtual waiting room“I’ll be right with you.”

Late patients Send patient an invite by text and email If no response, staff to contact

to rebook or troubleshoot etc. See or invite the next patient on your day sheet

Creative assessments Video/ pictures by email, remote monitoring devices, Roth test

Gather additional information Pharmacy, lab/ imaging locations

File transfer can be used like e-Faxing to deliver documents to patients Lab and x-ray requisitions only

TELEMEDICINE AND CLINIC WORKFLOW

Telemedicine does not mean working remote

Working remote requires: EMR with remote access Mobile phones or VoIP apps eFaxing (e.i. prescriptions) Scanning Online booking (e.g. patient follow up)

If you cannot work remotely, do telemedicine in your office Your usual clinic workflows are supported. Prevent burden of work placed on physicians and staff with more

faxing/ phoning of prescriptions and requisitions.

Consider implementing more remote solutions to your practice in the future.

DOCTORS TECHNOLOGY OFFICE SUPPORT

DTO Peer Mentor Program – Contact DTO Providing virtual care advice based on personal experience

Context specific – Local, similar practice type, same EMR, similar business model

Offering personal consultations and group learning sessions

DTO Website Virtual Care Quick Start Guide

Virtual Care Toolkit

DTO Learning YouTube channel – coming soon Webinar recordings and instructional videos on specific tools

THANK YOU!

Speaker/Peer Mentor:Dr. David Harrison

Panelists/Peer Mentors: Dr. Devan Reddy, Dr. Billy (Shen-Ping) Lin

Moderator/Lead:Brigitte Mettler, Doctors Technology Office

Doctors Technology Office (DTO) is here to support you, please reach out with additional virtual care questions to:

604 638-5841 DTOinfo@doctorsofbc.cawww.doctorsofbc.ca/doctors-technology-office